传染病门诊接受胃肠外抗菌治疗患者的系列红细胞沉降率和C反应蛋白监测评估
Evaluation of serial erythrocyte sedimentation rate and C-reactive protein monitoring in infectious disease outpatient parenteral antimicrobial therapy patients.
作者信息
Jackson Katarina, Veillette John J, Olson Jared, Seibert Allan M, Webb Brandon J
机构信息
Department of Pharmacy, Intermountain Medical Center, Murray, UT, USA.
Infectious Diseases Telehealth Service, Intermountain Health, Murray, UT, USA.
出版信息
Antimicrob Steward Healthc Epidemiol. 2025 Mar 3;5(1):e73. doi: 10.1017/ash.2025.15. eCollection 2025.
Of 313 patients whose outpatient parenteral antimicrobial therapy was managed by an ID physician, only 39 [12.5%, 95% CI (8.8%-16.1%)] had clinical decisions influenced by erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), or both. ESR/CRP ordering was associated with $530 in excess cost per treatment course (average duration 5.1 weeks) representing a diagnostic stewardship opportunity.
在313例由感染病科医生管理门诊胃肠外抗菌治疗的患者中，只有39例[12.5%，95%可信区间(8.8%-16.1%)]的临床决策受到红细胞沉降率(ESR)、C反应蛋白(CRP)或两者的影响。每次治疗疗程（平均持续时间5.1周）中，ESR/CRP检查的额外费用为530美元，这代表了一个诊断管理的机会。
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